Description
Book SynopsisA valuable guide to starting and running a successful accountable care organization.
Health care in America is undergoing great change. Soon, accountable care organizationshealth care organizations that tie provider reimbursements to quality metrics and reductions in the cost of carewill be ubiquitous. But how do you set up an ACO? How does an ACO function? And what are the keys to creating a profitable ACO?
Pathways to a Successful Accountable Care Organization will help guide you through the complicated process of establishing and running an ACO. Peter A. Gross, MD, who has firsthand experience as the chairman of a successful ACO, breaks down how he did it and describes the pitfalls he discovered along the way. In-depth essays by a group of expert authors touch on
the essential ingredients of a successful ACO
monitoring and submitting Group Practice Reporting Option quality measures
mastering your patients'' responses to the Consumer A
Table of Contents
Contributors
Preface
Acknowledgments
Chapter 1. Essential Ingredients of a Successful Accountable Care Organization
Peter A. Gross
Chapter 2. Patient-Centered Medical Homes: A Key Building Block for Accountable Care Organizations
Joshua Bennett
Chapter 3. Care Coordination: Initial Plans and Evolution
Denise Patriaco
Chapter 4. Quality Measurement in Accountable Care Organizations
Guy D'Andrea and Kris Corwin
Chapter 5. Monitoring and Submitting Quality Measures for the Group Practice Reporting Option: CMS Web Interface
Kris Gates
Chapter 6. Live Experience of a Quality Measure Validation Audit
Mitchel Easton
Chapter 7. Ready, Risk, Reward: Building Successful Two-Sided Risk Models
Brent Hardaway, Elyse Pegler, and Bryan Smith
Chapter 8. Post-Acute Care: A Key Consideration for an Accountable Care Organization
Andy Edeburn
Chapter 9. Data Analytics: Making a Choice
Shawn Griffin
Chapter 10. Impact of Coding and Documentation on Risk Scores
Glen Champlin and John Pitsikoulis
Chapter 11. Legal and Compliance Considerations
Seth Edwards
Chapter 12. Employee Health Management and the Role of an Accountable Care Organization
Jeremy Mathis
Chapter 13. The Role of Primary Care in the Future of Health Care
Morey Menacker
Chapter 14. Practice Transformation: Engaging and Integrating Physician Practices
Thomas Kloos
Chapter 15. Population Health Management Consulting
Joseph F. Damore
Chapter 16. The Comprehensive Primary Care Plus Initiative
Seth Edwards
Chapter 17. Keys to Success in Bundled Payments
Mark Hiller, Beth Ireton, Miriam McKisic, and Mike Schweitzer
Afterword
Index
